Introduction
   

Case 2:

History:

  • Arabian filly foal, 6 weeks old

  • Weak foal, respiratory signs from 1 week of age

  • At necropsy, extensive congestion and atelectasis of cranial lung fields

Histopathology shows a disease centred on smaller bronchi and bronchioles. This is seen as oedema around airways, necrosis of the airway epitheliam and accumulation of exudate within the airway lumens. Surrounding lung is only minimally affected.

 

Examples of airway lesions in a bronchiole (left) and small bronchus (right).

 

 

Higher power illustrating necrotic cell debris in the lumen (left), partially ulcerated mucosa and several epithelial cells containing large basophilic intranuclear inclusions (arrowheads). The lesions are typical for adenoviral infection.

Differential Diagnosis for Bronchioloitis:

  • Adenovirus

  • Other viruses eg Herpes


Infectious Laryngotracheitis (ILT) - a classic herpes virus disease of chickens affecting the airways:

Haemorrhagic to diphtheritic exudates are typical of Herpes infections of the airways in many species. Another example of a similar disease is IBR of cattle. The lumen is occluded with bloody exudate and the mucosa is necrotic and ulcerated.

 

Often diagnostic inclusions are found in the sloughed epithelial cells. Severe disease may lead to suffocation. This view shows amphophilic inclusions (arrowheads) within respiratory epithelial cells in the exudate in the lumen.


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